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Urban Drug Users Have Increased Risk of Undiscovered Obstructive Lung Diseases

Urban populations with a history of current or former drug use are at a greater risk of undiscovered obstructive lung diseases (OLDs), such as asthma and chronic obstructive pulmonary disease (COPD). That is according to recent research published in the International Journal of Chronic Obstructive Pulmonary Disease.

Due to race, behavioral and socioeconomic characteristics, urban drug users are at a higher risk of developing OLDs. However, OLDs are frequently unrecognized and under treated in this population. However, little data exists related to the prevalence and risk factors of OLDs in urban drug users.

Researchers out of Baltimore, Md., conducted a cross-sectional analysis of the Acquired Immunodeficiency Syndrome Linked to the Intravenous Experience (ALIVE) study, an observational study of current and former injection drug users among persons with HIV in Baltimore. Researchers then grouped ALIVE participants with spirometry-defined airflow obstruction by the presence or absence of a physician-diagnosed OLD. Further, regression models were used to identify independent risk factors of unrecognized OLDs.

While the urban population is a poorly studied group, research has found that there is an increased risk of human immunodeficiency virus (HIV) infection, which is associated with an increased prevalence of OLDs.

Of the 1,083 participants evaluated, 176 (16 percent) met the spirometric criteria for an OLD, while only 88 of those (8 percent) were diagnosed by a physician. Further, as severity of airflow obstruction increased, the prevalence of an unrecognized OLD decreased. Independent risks were identified as absence of respiratory symptoms and less severe dyspnea, while the use of antiretroviral therapy (ART) in the subset of HIV infected patients was also associated with an increased prevalence of unrecognized OLDs.

Through this analysis, researchers also looked to determine the characteristics associated with the lack of physician-diagnosed OLDs. However, it remains unclear what patient characteristics may be associated with unrecognized OLDs, especially in these high-risk populations.

Click Here to Access the Full Study from Dovepress

Coping with COPD: Reduce Stress

Unavoidable factors in daily life, stress and anxiety can have a particularly negative effect on those suffering from chronic obstructive pulmonary disease (COPD). In particular, stress and anxiety can cause shortness of breath, cause COPD symptoms to become worse and lead to further anxiety, faster breathing and fear.

However, by developing effective ways to manage stress and learning to relax, you can help prevent shortness of breath and avoid panic. The Cleveland Clinic suggests the following techniques to effectively manage stress:

Learn to change thought patterns that produce stress. Your thoughts determine how you feel and how well you manage stress levels. By altering what you think, how you think, what you expect and what you tell yourself, stress can be properly managed.

Reduce causes of stress. By identifying major stressors in your life, such as money problems, relationship problems, grief, deadlines at work, a busy schedule or lack of support, you can avoid situations that trigger stress for you. Further, by practicing effective time-management skills, setting priorities, pacing yourself and taking time for yourself, you can resolve these issues. However, if you can’t resolve these stressors on your own, seek professional help.

Practice relaxation exercises. Simple to perform, relaxation exercises combine deep breathing, releasing of muscle tension and clearing of negative thoughts. Exercises include diaphragmatic and pursed-lip breathing, imagery, repetitive phrases and progressive muscle relaxation. If practiced regularly, these exercises can lessen the negative effects of stress. For more specific information on these exercises, commercial CDs and books are a valuable resource.

Coping With COPD: Delegate Responsibility

Delegating responsibility is an important stress management tool and an effective way to actively manage chronic obstructive pulmonary disease (COPD). Stress and anxiety can have a negative effect on the overall health of COPD patients, causing shortness of breath and a worsening of other symptoms, which can lead to further anxiety, faster breathing and fear.

By actively lightening the burden of responsibility, you can reduce stress levels at home and work and create more time for the activities you love. The key is to take a team approach to activities and involve all parties in sharing the load.

To modify stress levels and responsibility, The Cleveland Clinic health information website suggests applying the following guidelines to situations at home or modifying them to fit situations at work:

  • Make a list of tasks involved in each job you are responsible for
  • Take the time to train someone to handle specific jobs or tasks
  • Assign responsibility to a specific person
  • Give clear, specific instructions and deadlines
  • Rotate unpleasant duties
  • Be appreciative and let people know that you are pleased with a job well done
  • Allow others to execute a task in their own way
  • Give up being a perfectionist

Following these guidelines will allow you to actively manage stress levels and take control of your COPD and overall health. Remember, your family and friends are there to support you. By allowing them to help you with everyday activities, you will not only feel better but also have more time to spend with them doing the things you enjoy.

COPD Patients at Higher Risk of Shingles

Emphysema and chronic obstructive pulmonary disease (COPD) patients may be at a higher-than-average risk for developing shingles, according to a recent study published in the Canadian Medical Association Journal.

A painful rash caused by the same virus that causes chicken pox, shingles (herpes zoster) is caused by a recurrence of the chickenpox virus, which hides in the body’s nerve tissue where it can become active again later in life. It is most common in people 50 years of age and older, as well as in those whose bodies cannot fight off illness as well as others. However, if people have not had chickenpox in their life, they are not at risk for shingles.

In the study, researchers examined nearly 8,500 COPD patients age 50 and older. They found on average that every year for 10 years, 16 of every 1,000 patients developed shingles. They compared this group to a group of nearly 34,000 COPD-free adults of the same age; in the COPD-free group, only nine out of every 1,000 adults developed shingles each year. When outside factors were considered, such as overall health and income, COPD was linked to a twofold increase in the risk of shingles.

Researchers believe this increased vulnerability is a result of the widespread inflammation in the body and the disruption of some parts of the immune system caused by COPD. These findings are concurrent with past studies that have linked other inflammatory conditions, like rheumatoid arthritis and inflammatory bowel disease, to a higher-than-average risk of shingles.

Like chickenpox, there is no cure for shingles. However, antiviral drugs can lessen symptoms and speed recovery, especially if they are taken soon after the rash appears. A one-time vaccine, called Zostavax, is also available and reduces the risk of developing the condition in the first place.

“Because shingles is frequently complicated with chronic pain, leading to reduced quality of life, we suggest COPD patients discuss with their doctor if they are appropriate for shingles vaccination,” said Dr. Ya-Wen Yang of Tapei Medical University, the lead researcher on the study, in a press release.

The U.S. Centers for Disease Control and Prevention estimates that one-quarter to one-third of adults will develop shingles at some point in their life. Of those, one-third of which will develop complications, most commonly long-lasting nerve pain that can go on for months or even years after the rash has healed.

Click Here to Access the Full Story From the Canadian Medical Association Journal

COPD Diagnoses and Deaths Continue to Rise in Women

According to a recent health interview survey conducted by the Centers for Disease Control and Prevention (CDC), deaths in U.S. related to chronic obstructive pulmonary disease (COPD) have increased much faster among women than men over the last 20 years, while women were also more likely to receive hospitalization or emergency room care due to COPD.

While experts question if this increase in COPD-related care may be due to the fact that women are more likely to report symptoms and seek professional help when health issues arise, a growing body of research suggests that women may be biologically more susceptible to developing lung-related illness.

According to a 2007 study published in the American Journal of Respiratory and Critical Care Medicine, women who smoke may be at a higher risk of developing COPD.

“Smoking-related lung diseases such as [COPD] and lung cancer are growing epidemics in women in the United States and elsewhere,” wrote study authors. “Although some of this disturbing trend in women can be attributed to changing smoking habits, there is emerging evidence that women may be biologically more susceptible to the harmful effects of cigarette smoke than are men.”

Researchers note that “estrogen and related compounds may up-regulate the expression of cytochrome P450 (CYP) enzymes in lungs and liver, which are involved in the metabolism of various constituents of cigarette smoke.” This metabolic process can transform harmless substances, such as the polycyclic aromatic hydrocarbon found in cigarette smoke, into toxic chemicals through metabolic bioactivation.

In another study, researchers from Harvard University and the University of Bergen in Norway found that women with COPD were younger when they were diagnosed and had smoked less than men with the chronic lung condition.

To decrease their risk of developing COPD, women should take the following steps:

  • Quit smoking. According to the U.S. Department of Health and Human Services, women who smoke are 13 times more likely to die from COPD than women who do not.
  • Avoid secondhand smoke. Secondhand smoke can be just as dangerous as smoking itself and should be avoided at all costs.
  • Avoid lung irritants. These includedust, air pollution, paint sprays, chemical fumes and other airborne irritants, which can bother your lungs.


Women who are at risk of developing COPD, including those who currently smoke or have smoked in the past, should also ensure that regular lung screenings are a part of their healthcare plan. While there is no cure for COPD, early detection is key to managing the disease.

Click Here to Read More from Everyday Health.

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